Iran Journal of Nursing

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Background: Pulmonary aspiration is one of the complications of tube feeding which may lead to pneumonitis, necrotic pneumonia and pulmonary abscess and therefore threats patient’s life. Objective: To determine the rate of pulmonary aspirations by two methods of tube feeding (intermittent bolus and intermittent drops). Design: This was a randomized clinical trial study in which two groups of neurosurgical patients were selected. One group received intermittent bolus and the other one had intermittent drops and then the two groups were compaired from the point of pulmonary aspiration. Sample: 74 Patients were selected consecutively and assigned randomly to one of the groups. Results: The result indicated a significant difference between two methods of tube feeding (intermittent bolus and intermittent drops) Conclusion: Findings showed that the rate of pulmonary aspiration is higher in intermittent bolus than in intermittent drops. Therefore recommendation is made about usage of intermittent drops instead of intermittent bolus.

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  Background & Aims: Nursing staff suffer from work-related musculoskeletal disorders (WMSDs) more than other health care workers and patient handling is a main risk factor in the occurrence of these disorders. The purpose of this study was to assess the risk of musculoskeletal disorders due to patient handling using PTAI technique among hospital nurses working in hospitals affiliated to Shiraz University of Medical Sciences (SUMS).

  Material & Methods: This cross-sectional study was conducted among 400 randomly selected nurses from 75 wards of 11 hospitals affiliated to SUMS. Data was collected by demographic and Nordic musculoskeletal disorders questionnaires and PTAI index checklist. Statistical analysis was performed using SPSS (v 16.). Chi-square test was applied to examine the difference between MSDs prevalence in different levels of PTAI index. Odds ratio was also calculated for each level of PTAI index. 

  Results: The mean score of age and job tenure of subjects was 30.76±6.44 and 6.92±5.75 years respectively. Prevalence rate of MSDs among the subjects was 88.2%. The results of PTAI index assessment revealed that 4% of subjects were at risk level 1, 8.5% at risk level 2 and 87.5% at risk level 3. The results indicated that PTAI index score was significantly associated with musculoskeletal disorders occurrence (p<0.001).

 Conclusion: According to the findings, PTAI is an appropriate tool for musculoskeletal disorders risk identification and assessment due to patient handling in nursing personnel.

  Received: 2 Apr 2013

  Accepted: 10 Jun 2013

 

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Abstract

Background & Aim: Promoting students’ critical thinking (CT) skills has been an essential goal of higher education, especially in nursing education. Unstable clinical situation requires nurses with proper ability of decision making which needs critical thinking. Accordingly this study was conducted to evaluate the critical thinking skills of nursing students of Isfahan University of Medical Sciences.

Material & Methods: It was a descriptive cross-sectional study. The sample consisted of 169 nursing students who were recruited by stratified proportion to size sampling. The Data was collected by “California Critical Thinking Skills Test B” and analyzed by spearman correlation, Pearson correlation, T test and ANOVA using SPSS-PC (v. 16).

Results: Critical thinking skills in nursing students in all three levels was less than 50 percent (%32/8) and There was no significant correlation between educational levels of students and the mean score of critical thinking skills and its subscales by ANOVA test ( p>0/05).

Conclusion: Despite the emphasis on the necessity of students’ critical thinking in higher education, the existent context does not have the required efficacy and needs some revision.